LSVT-BIG ®'in Parkinson hastalığında fonksiyonel hareketlilik, yürüme, el becerisi ve yaşam kalitesi üzerine etkisi

Yıl 2022, Cilt: 47 Sayı: 4, 1738 - 1745, 28.12.2022

Türkan Turgay , Yasemin Ekmekyapar Fırat , Seval Selver Soğan , Pınar Günel

https://doi.org/10.17826/cumj.1172689

Cited By: 1

Öz

Amaç: Bu çalışmanın amacı, Parkinson hastalığında (PH) LSVT-BIG ® (Lee Silverman Voice Treatment Big) tekniğinin fonksiyonel hareketlilik, el becerisi ve yaşam kalitesi üzerindeki etkisini değerlendirmekti.
Gereç ve Yöntem: Parkinson hastalığı olan 15 hasta (9 erkek ve 6 kadın, yaşları 40-75; Hoehn & Yahr Evre I-III), haftada 4 seans, 1 saat/seans olmak üzere 4 haftalık bir LSVT-BIG eğitim programını tamamladı. Hastaların rehabilitasyon programının başında (t0) ve sonunda (t1) yaşam kalitelerinin ölçülmesinde Parkinson Hastalığı Yaşam Kalitesi Anketi-39 (PDQ-39) kullanıldı. El becerisi için Dokuz Delikli Çivi Testi (NHPT) kullanıldı. Fonksiyonel mobilitenin değerlendirilmesinde 10 Metre Yürüme Testi (10MWT), Zamanlı Kalk ve Yürü Testi (TUG) ve Beş Kez Oturup Kalkma Testi (5XSST) kullanıldı. 4 hafta sonra, tüm katılımcılar yeniden test edildi.
Bulgular: 4 haftalık LSVT-BIG tedavisinden sonra, PDQ-39 mobilite, günlük yaşam aktiviteleri, duygusal durum, stigma, kognisyon, iletişim, bedensel rahatsızlık ve genel skorlarda egzersiz sonrası öncesine kıyasla istatistiksel olarak anlamlı bir iyileşme bulundu. Egzersiz sonrası bakılan PDQ-39 sosyal destek puanında öncesine göre istatistiksel olarak anlamlı bir değişiklik olmadı. Ayrıca TUG testi, 5XSST, 10MWT’de ve sol el için NHPT ile bakılan beceri testinde iyileşme gelişti.
Sonuç: LSVT-BIG eğitimi, PH'da daha iyi yürüme, fonksiyonel hareketlilikve el becerisi performansı ile yaşam kalitesini arttıran yeni bir tedavi seçeneği olabilir. LSVT-BIG rehabilitasyon programının Parkinson hastalarında motor ve motor olmayan bozuklukları azaltma üzerindeki etkisini değerlendirmek için daha büyük boyutlarda randomize kontrollü çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

LSVT-BIG, Parkinson hastalığı, telerehabilitasyon, yaşam kalitesi

Impact of LSVT-BIG ® on functional mobility, walking, dexterity, and quality of life in Parkinson's disease

Öz

Purpose: The aim of this study was to evaluate the impact of the LSVT-BIG ® (Lee Silverman Voice Treatment Big) technique on functional mobility, dexterity, and quality of life in Parkinson's disease (PD).
Materials and Methods: Fifteen patients with Parkinson's disease (9 males, and 6 females, aged 40-75 years; Hoehn & Yahr Stages I-III) completed a 4-week LSVT-BIG training program for 1 hour/session, 4 sessions per week. Parkinson's Disease Quality of Life Questionnaire-39 (PDQ-39) was used in measuring patients' quality of life at the beginning (t0) and at the end (t1) of the rehabilitation program. Nine-Hole Peg Test (NHPT) was used for dexterity. 10 Meter Walking Test (10MWT), Timed-Up-and-Go Test (TUG), and Five-Times Sit-to-Stand Test (5XSST) were used for assessing functional mobility. After 4 weeks, all participants were retested.
Results: After 4 weeks of LSVT-BIG therapy, a statistically significant improvement was found in PDQ-39 mobility, activities of daily living, emotional state, stigma, cognition, communication, physical discomfort, and general scores after exercise compared to before. There was no statistically significant change in the PDQ-39 social support score after exercise compared to before. In addition, functional mobility improved as indicated by the TUG test, 5XSST, 10MWT (and dexterity by NHPT on the left.
Conclusion: LSVT-BIG training may be a new therapeutic option for better walking, functional mobility, and manual capability performance and for enhancing the quality of life in PD. Randomized controlled trials with bigger sizes are needed to evaluate the effect of the LSVT-BIG rehabilitation program on reducing motor and non-motor impairments in patients with PD.

Anahtar Kelimeler

LSVT-BIG therapy, Parkinson's disase, telerehabilitation, quality of life

Kaynakça

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